HomeMy WebLinkAboutPermit Electrical 1994-6-23
.
.
SPRINGFIELD I
,
he __.. d0e8 not require epee
zonlDll. ......
eppr.....eL {)
225 FIFTH STREET lonlng L-f){//
SPRINGFIELD, OREGON 97477 ~~) >.,.-<1?f
INSPECTION REQUEST: 726-37lI!L - \\\ ~
OFFICE: 726-3759 AulhOftZ*l SlIl"a1Ul9_ -
. 3. COMPLETE FEE SCHEDULE BELOII
1./ _~O}l-QF Rl~~TION ~ ....\-
\.Q"'--'\t_) \\'\.\1\~Q_\\0\})OOJ\ A.
I ~rftj;~<f\PTION rio0(1)
0... JOB DE
J.. \\ 1 iY\
\
Permits ar no
if york is not
of issuance or
180 days.
-transfe able and expire
started vithin 180 days
if york is suspended for
2. CONTRACTOR INSTALLATION ONLY
.
Electrical Contractor Klvr> e-/e~-'R I G
Address P,O, B 0)(
City.1rF/J./ ()y
Supervisor License Number ~u71
/01/ /r:r
Constr Contr. Number ';:<0-/72 C.
E~pir~ ~ion Date L 0.// J q 5- { )
~ f? t:JtJA.d... .3 5""(, S' / 3/ :J l( 9 (p
Signature or e sing Elec ician
~/ ~./
;, o';;;~..( e r ~ 'NJ. Nro 0 :>
Address l el\ -o. r\]\f'(), g i\~,
ID(P 7
Phone 7:((P -9303
S
Expiration Date
City Phone
OIlNER I~S~LATION .
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
OvnerSZign u .: ~ .-/ '.~
~o'Y"
~.].~~'~
DATE~---~z?G-~lL"'3-.-q4~-
RECEIPT 1I: ,.."j/ _. _-\
RECEIVED BY: \. /\l~ J,,::/
ELECTRICAL PERMIT APPLICATION
Ci ty Job Number q4()~~'2-
- '
Items
*
Cost Sum
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or'Feeders
Installation, Alteration or Relocation
200 amps
201 amps
Over 401
Over 600
or less
to 400 amps
to 600 amps
amps or 1000
1000 sq. ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home or
Modular Dwelling
Service or Feeder $ 40.00
B. Services or Feeders
Installation, Alterations
or Relocation:
D. Branch Circuits
volts
$ 40.00
$ 55.00
$ 80.00
see "B" above
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder not inCludett
-Each installation ~r
Pump or irrigation I $ 40.00 ~
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ &500
~-
~ ~-'u.L-.:
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% s~i~.:urch~
$ 35.00
$
2.00
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759
LOT'
.
.
q -\D BS2.....
JOB NUMBER
BLOCK'
TAX LOT:
SUBDIVISION'
~\O'n)
OWNER:~n\'r . ~~ .' '. PHON~'
ADDRESS:\ of\C\\)~~~"t."\
CITY: ~~\.u:(\~dCS, . ~ STATE:~~~
DESCRIBE WORK: \ ~ )i\ lit\l~, \ ~ i \'t i -lU
NEW REMODEL ~DDITION ~ OTHER
CONTRAcrom~E!. j . In.
GENERAL:~\~-'V
PLUMBING'
MECHANICAl'
ELECTRICAl'
ZIP:
~f 'f\ t ,p>
4mY6~
CONST,
CONT~~9.R ·
~2.~
EXPI~ rHO~
\0- \- ~'V'th V Ql1
QUAD AREA: l\R\\) f.J - OFFI\ US\ -
LAND US~' \ \ FLOOD PLAIN'
. OF BLDG~' · OF UNITS: ZONING CODE:
OCCY GROUP' CONSTR. TYPE: . OF BDRMS'
. OF STORIES: HEAT SOURCE: SECONDARY HEAT'
WATER HEATER: RANG~' SQUARE FOOTAGE:
TO request an Inspection, you must call 726.3769. This Is a24 hour recording. All Inspections requested before 7:00 a.m, will be
made the same working day, Inspections requested after 7:00 a.m. will be mada the following work day.
REQUIRED INSPECTIONS
D Temporary Electric
.. .
D Site Inspection - To be made
after excavation, but prior to
setting forms.
D Underslab Plumblng/Electrlcal/
Mechanical - Prior to cover,
D Footing - After trenches are
excavated.
D Masonry - Steel location, bond
,beams, grouting.
~OUndatlOn - After forms are
erected but prior to 'concrete
placement.
~dergrOUnd Plumbing - Prior
~o filling trench, '
D Underfloor Plumbing/Mechanical
- Prior to Insulation or decking.
D Post and Beam - Prior to floor
Insulation or decking,
D Floor Insulation - Prior \0
decking.
D Sanitary Sewer - Prior to filling
trench.
(1t:;torm ~~er;: ~'f)l~ ~~
T trench. '-'\AJ', ","''''VI '.
D Water Line - Prior to filling
trench,
D Rough Plumbing - Prior to
cover.
D Rough Mech~nlcat ...: Prior to
cover.
D Final Plumbing - When all
plumbing work Is complete.
D Rough Electrical - Prior to
cover. . , .
D Final Electrical - When all
electrical work Is complete.
D Electrical Service - Must be
approved to obtain p~rmanent
electrical power. :r ~:;.,
D Final Mechanical - When all
mechanical work Is complete.
~nal BUilding - When all
required Inspections have been
approved and building Is
completed,
D Fireplace - Prior to facing
materials and framing Insp.
~ra~lng - Prior to cover.
t!
m Wail/Ceiling Insul,atlon - Prior to
cover.
D'Olhar
D Drywall - Prl,or to taping,
MOBILE HOME INSPECTIONS
D Wood Stove - Alter Installation.
D Insert - After fireplace approvsl
and Installation 01 unit.
D Blocking and Set. Up - When all
blocking Is complete. .
D Curb cut & Ap'proach - After
forms are erected but prior to
placement of co~cret,e.
D Plumbing Connections - When
home has been connected to
water and sewer.
D Sidewalk & Driveway - After
excavation Is complete, forms
and"sub.base material In place.
D Electrical Connection - When
blocking, set.up, and plumbing
Inspections have been approved
and the home Is connected to
the service panel.
D Fen~e - When completed.
D Streel Trees - When all required
trees are planted.
D Final - After all required
Inspections are approved and
porches, skirting, decks, and
venting have been Installed.
.
Lot faces
L~/~pe .
"-~:., ""t';," .'." '.j 1":"",1' ..i'l,...I....I.lI...'ii".:.
" ~~"' -,l I"l
Topography
Total height
Panhandle
Setbacks .
I P.L HSE GAR ACC
IN
Is
Iw
~-
: (. THE PROPOSED WORK IN THE.
. ....HiSTORiCAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
If yes, this application must be signed
and approved by the Historical
. Coordinator prior to permll Issuance,
Lot sq. Itg.
Interior
Lot coverage
Corner
Cul-de-sac
,
APPROVEI"
Garage
Carport
"
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permll Is granted on the express condition that the said
construction shall, In all respects, conform to the Ordinance
adopted by the City. of Springfield, Including Ihe
Development Code. regulating the construction and use 01
buildings, and may be suspended or revoked at any time
upon violation of any provisions 0' said ordinances.
BUILDING PERMIT
ITEM sa. FT. x $/SO. FT, a VALUE
M~ln
Building Permll Fee
State Surcharge
~ Plan Check Fee",,-. :
Date Paid:
~.~ Receipt Number'
. -\- \.\'\ \.q~ Received By:
(A) L\ \.5'7 Plans Reviewed By Date
~
Total Fee
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge Is due on all undeveloped
properties wllhln the City IImlls which are being Improved.
-~,-
:'
ADDITIONAL COMMENTS
PLUMBING PERMIT
ITEM
FEE
Fixtures
Residential Bath(s) N'
Sanllary Sewer FT.
Water FT.
Storm Sewer
FT,
;Jspo
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
.'15
&590
J.a~
cv}. oV
..
(C)
MECHANICAL PERMIT
Furnace
Vent Fan
N'
By signature, I state and agree, that I have carefully examined
the completed appllcallon and do hereby certify that all
Information hereon Is true and correct, and I further certify
that any and all work performed shall be done In accordance
with the Ordinances of the Clly of Springfield, and the Laws
of the State of Oregon perlalnlng to the work described
herein, and that NO OCCUPANCY will be made of any
structure without permission of the Building Safety Division,
I further certify that only contractors and employees who
are In compliance wllh ORS 701.055 will be used on this
project.
Exhaust Hood
Wood StovellnserllFlreplace Unll
Dryer Vent
Mechanical Permit
Issuance
State Surcharge
Total Permit
(0)
I further agree to ensure that all required Inspections are
requested at the proper time, that each address Is readable
from the atreet, that the permit card Is located at the front
of the property, and the approved set of plans will remain
tr~;;;49~ ·
Date ,6: ~/9!/ /
. (
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
Curbcut
It
It
Demolition
TOTAL AMOUNT DUE (excluding electrical)
lA, B, C, 0. and E Combined)
~.~
VALIDATION:
RECEIPT NUMBe.R \O~
DATE PAID \jl .f') q 4= ~
AMOUNT RECf{'f? ....~ I . \ob ~
RECEIVED BY ~
State Surcharge
Total Miscellaneous Permits (E)